Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Behavioral Health Case Manager will provide telephonic support for both direct referrals and data identified referrals. This requires clinical expertise and the ability to negotiate the complexities involved with special needs conditions such as substance use, suicidality/homicide, major depression, ADHD, eating disorders, and severe mental illness. This position may require minimal field work to meet with members at local facilities in the future.
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This position requires residency and independent clinical licensure in Missouri.
The schedule is Monday - Friday, 8:00am to 5:00pm.
If you live in Missouri, you will have the flexibility to work remotely as you take on some tough challenges. Residency in St. Louis, Kansas City, or Columbia is preferred.
Primary Responsibilities:
- Facilitate member education and involvement of caregiver in the delivery of interventions
- Provide advocacy and support to member and family members, including caregiver support & appropriate referral to applicable / needed resources
- Ensure that members understand treatment options and are effectively linked to treatment resources
- Promote health, wellness and optimal psychosocial functioning for member (identify caregiver gaps, facilitate education and respite support)
- Consider the member's needs holistically to identify gaps in care requiring intervention
- Exhibit excellent customer service in engaging providers in collaborative planning
- Create and maintain appropriate clinical records
- Participate as directed in clinical rounds with other members of the team and other external health care management organizations / vendors, as applicable. Also participate in advancing the Quality Improvement Program
- Conduct condition specific research to meet member needs
- Maintain success stories which can be utilized to promote program
- Provide case management support for individuals who meet diagnostic requirements including engagement of member and/ or family making available support throughout the entire continuum of treatment
- Explanation of authorization process
- Complete discharge follow-up & if needed, discharge planning / support
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; or Licensed Ph.D.
- Active, unrestricted clinical license to practice independently without supervision in Missouri
- 2+ years of post-licensure experience in a related mental health environment
- 1+ years of case management experience
- Intermediate level computer skills including proficiency with MS Office Suite
- Access to high-speed internet (Broadband Cable, DSL, Fiber) and a dedicated workspace at home
- Missouri residency
Preferred Qualifications:
- Hospital experience including intakes, assessments, discharge planning, and/or case management
- Community mental health experience including case management
- Experience doing chart reviews
- Experience consulting with facility and/or hospital staff to coordinate treatment plans
- Dual diagnosis experience with mental health and substance abuse
- Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients
- Experience with government funded programs
- Reside in St. Louis, Kansas City, or Columbia, MO
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.